OBGYN Prior Authorization Delays Are Increasing Payment Delays — Here's the Solution

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  Prior authorization has become one of the biggest administrative challenges for OBGYN practices in 2026. As commercial insurers and Medicare Advantage plans continue expanding authorization requirements, many providers are experiencing delayed treatments, claim denials, slower reimbursements, and growing accounts receivable (AR). Even when services are medically necessary, missing or incorrect prior authorization can prevent timely payment and negatively impact practice cash flow. OBGYN practices routinely provide services that require prior authorization, including advanced imaging, surgical procedures, infertility treatments, high-risk pregnancy care, outpatient procedures, and certain medications. Managing these requirements internally can consume valuable staff time while increasing the risk of billing errors and reimbursement delays. This is why more providers are relying on specialized OBGYN billing services , medical billing services , and comprehensive RCM services to st...
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The Struggle of Primary Care Physicians with Dynamic Medical Billing Rules

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Medical Billing a Challenge for Struggling Primary Care Practices

Medical billing is a complex process and it’s always been a reason for the struggle of primary care physicians. In addition, their practice is often overwhelmed with constantly changing information, including protocols and billing codes which makes the situation more challenging.

When the covid-19 pandemic strains the U.S. healthcare system, primary care physicians were working to educate their patients, employ safety protocols, and handle large volumes of calls. This large volume of calls is creating administrative hurdles and operational challenges. Hence in response, many primary care practices are making changes to their medical billing processes to accommodate new patient needs.

The recent release of the Medicare physician fee schedule final rule from the Centers for Medicare & Medicaid Services (CMS) contains new hope for struggling primary care physicians and you will get to know about it in the following brief.

Add-on Code G2211

The CMS feels the need to compensate physicians and other qualified healthcare professionals for the inherent complexity of primary care and other office visits hence CMS is moving forward with add-on code G2211.

You may separately list this add-on code in addition to office/outpatient (E/M) visits for new or established patients (i.e. codes 99202-99215). Also, you can use this code even when the E/M visit is done via telehealth as this code is permanently added to the Medicare telehealth list by CMS. One important point you need to consider here is the code’s Medicare payment allowance will be approximately $15.88, but will vary geographically.

To know more about the struggle of primary care physicians with dynamic billing rules and examples that can help you to understand, click here: https://bit.ly/3ruoVyY Contact us at info@medicalbillersandcoders.com/ 888-357-3226.

Location: United States

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